Individual provider Active NPI

Akeira Warner I

  • Dentist
  • Sapulpa, OK
National Provider Identifier
1295476794
Registry record updated Jan 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
7983 Issued in OK
Practice address
1011 E Taft Ave
Sapulpa, OK 74066-5730
Phone
(918) 212-6943
NPI assigned
Apr 6, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 30, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X D14864 MN
Dentist 122300000X 38614 TX
Student in an Organized Health Care Education/Training Program 390200000X
Dentist 122300000X 7983 OK Primary

Addresses

Primary practice location

1011 E Taft Ave
Sapulpa, OK 74066-5730

Mailing address

1504 Royster Rd
Fort Worth, TX 76134-3604
Phone (817) 919-6059

Other practice location 1

309 Holly Ln
Mankato, MN 56001-5422
Phone (507) 388-2120

Other practice location 2

9900 Lake Forest Blvd Ste F
New Orleans, LA 70127-2609
Phone (504) 524-1210

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230527000269 MN Practitioner - Dentist 9436516978 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
38614TXMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Open Door Health Center CurrentSince Jul 24, 2023 Accepting new patients
Open Door Health Center CurrentSince Jul 24, 2023 Accepting new patients

Locations

309 Holly Ln
Mankato, MN 56001
Phone (507) 388-2120

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1649203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738195200000",
    "number": "1295476794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1504 ROYSTER RD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761343604",
            "telephone_number": "817-919-6059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 E TAFT AVE",
            "city": "SAPULPA",
            "state": "OK",
            "postal_code": "740665730",
            "telephone_number": "918-212-6943"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "309 Holly Ln",
            "address_purpose": "LOCATION",
            "city": "Mankato",
            "state": "MN",
            "postal_code": "560015422",
            "country_code": "US",
            "telephone_number": "507-388-2120",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9900 Lake Forest Blvd Ste F",
            "address_purpose": "LOCATION",
            "city": "New Orleans",
            "state": "LA",
            "postal_code": "701272609",
            "country_code": "US",
            "telephone_number": "504-524-1210",
            "fax_number": "504-524-1491",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WARNER",
        "first_name": "AKEIRA",
        "name_suffix": "I",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-06",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "D14864",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "38614",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OK",
            "license": "7983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sapulpa, OK

Sources for this page

Verify at the official NPI Registry.